"Fighting Tooth and Nail"

So, at the office we got this great letter from a patient and we aren't sure who it is. I don't know if you can read the note or not but it says that they've been fighting "tooth and nail" to pay their bill, which we definitely appreciate.

Enclosed within the envelope was a HUGE toe-nail which they had delicately removed from their big toe and sealed with love in the envelope to make their point. How can you argue with that?

We aren't sure how to respond. It is the first time any of us have had a human body-part mailed to us. I think mostly everyone wanted to throw up. Hope you like the pictures and that they show the enormity of this thing!